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Beam Characteristics at Low Dose Monitor Unit Settings for Vero4DRT

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International Journal of Medical Physics, Clinical Engineering and Radiation Oncology 2015年第4期4卷 284-289页

The stability of delivery of low monitor unit (MU) setting is important especially for step-and-shoot intensity-modulated radiotherapy (IMRT), because the nature of the technique is inherent to repeat beam on/off according to the number of the segments. This study evaluates the dose linearity and profile flatness/symmetry under low MU settings for Vero4DRT, a new linear-accelerator based irradiation system that currently implements step-and-shoot IMRT. To evaluate the dose linearity and flatness/symmetry, the point doses and beam profiles were measured as functions of MU and dose rates. The accuracy of dose delivery depended on the dose rate. Under all dose rates, the dose was linear within 1% above 5 MU and within 2% above 3 MU. The beam symmetry was degraded in-line compared with crossline, although both profiles were symmetric within 2% at all dose settings. The profile flatness was also within 2% above 5 MU at any dose rate and showed no significant variation among the low MU settings. To ensure stable beam delivery without increasing the treatment time of Vero4DRT, we recommend a delivery of 5 MU per segment at a dose rate of 500 MU/min.

关键词： Vero4DRT Step-and-Shoot IMRT Low Monitor Unit Beam Characteristic

The evolution of cancer genomic medicine in Japan and the role of the National Cancer Center Japan

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Cancer Biology & Medicine 2024年第1期21卷 29-44页

作者： Teruhiko Yoshida yasushi Yatabe Ken Kato Genichiro Ishii Akinobu Hamada Hiroyuki Mano Kuniko Sunami Noboru Yamamoto Takashi Kohno Department of Genetic Medicine and Services National Cancer Center HospitalTokyo 104-0045Japan Department of Diagnostic Pathology National Cancer Center HospitalTokyo 104-0045Japan Clinical Research Support Offce Clinical Research Coordinating SectionBiobank Translational Research Support SectionNational Cancer Center HospitalTokyo 104-0045Japan Department of Pathology and Clinical Laboratories National Cancer Center Hospital EastChiba 277-8577Japan Division of Molecular Pharmacology National Cancer Center Research InstituteTokyo 104-0045Japan National Cancer Center Research Institute Tokyo 104-0045Japan Department of Laboratory Medicine National Cancer Center HospitalTokyo 104-0045Japan Department of Experimental Therapeutics National Cancer Center HospitalTokyo 104-0045Japan Division of Genome Biology National Cancer Center Research InstituteTokyo 104-0045Japan

The journey to implement cancer genomic medicine(CGM)in oncology practice began in the 1980s,which is considered the dawn of genetic and genomic cancer *** the time,a variety of activating oncogenic alterations and their functional significance were unveiled in cancer cells,which led to the development of molecular targeted therapies in the 2000s and *** CGM is still a relatively new discipline and it is difficult to predict to what extent CGM will benefit the diverse pool of cancer patients,the National Cancer Center(NCC)of Japan has already contributed considerably to CGM advancement for the conquest of *** back at these past achievements of the NCC,we predict that the future of CGM will involve the following:1)A biobank of paired cancerous and non-cancerous tissues and cells from various cancer types and stages will be *** quantity and quality of these samples will be compatible with omics *** biobank samples will be linked to longitudinal clinical information.2)New technologies,such as whole-genome sequencing and artificial intelligence,will be introduced and new bioresources for functional and pharmacologic analyses(e.g.,a patient-derived xenograft library)will be systematically deployed.3)Fast and bidirectional translational research(bench-to-bedside and bedside-to-bench)performed by basic researchers and clinical investigators,preferably working alongside each other at the same institution,will be implemented;4)Close collaborations between academia,industry,regulatory bodies,and funding agencies will be established.5)There will be an investment in the other branch of CGM,personalized preventive medicine,based on the individual's genetic predisposition to cancer.

关键词： Cancer genomic medicine biobank patient-derived xenograft multi-gene panel test whole genome sequencing

Genomic medicine in clinical practice:national genomic medicine program in Japan

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Cancer Biology & Medicine 2024年第1期21卷 4-9页

Cancer statistics in Japan Cancer is the most common cause of death in Japan based on Statistics 2021~*** statistics were first gathered,infectious diseases,such as tuberculosis,and cerebrovascular disease have been the main causes of death in *** surpassed cerebrovascular disease as the main cause of death in 1981,and the number of cancer deaths has *** 38,000 people died of cancer in *** National Cancer Center(NCC)reported that the 5-year survival rate for patients with cancer was improving(62%for males and 66.9%for females)in a population-based cancer registry.

关键词： Cancer cancer death

Static Stretching Combined with Conscious Slower Breathing May Increase Parasympathetic Activity and Reduce Stress in Adult Women

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Health 2024年第3期16卷 242-256页

作者： Mami Sakurai yasushi Ikarashi Masahiro Tabuchi Ailing Hu Takuji Yamaguchi Hiroyuki Kobayashi Department of Hospital Administration Juntendo University Graduate School of Medicine Tokyo Japan Department of Beauty & Wellness Professional University of Beauty & Wellness Yokohama Japan Department of Personalized Kampo Medicine Juntendo University Graduate School of Medicine Tokyo Japan

Background: Women are thought to be more susceptible to stress than men in a stressful society, and reducing stress is crucial for women to maintain their health. Static stretching (SST) is applied in various fields to not only increase muscle flexibility but also reduce stress. Additionally, conscious slower breathing (CSB) predominates parasympathetic activity, causing a relaxing effect. These results indicate that combining SST and CSB may be more useful in reducing stress. However, to the best of our knowledge, the effect of this combination remains unclear. Objective: This study aimed to elucidate the effects of the combination of SST and CSB on autonomic activity and stress in adult women. Methods: Eleven healthy Japanese adult female participants performed SST with nonconscious natural breathing for 20 min. The same participants performed SST in combination with CSB (2 s inspiratory and 4 s expiratory) for 20 min on another day. Salivary cortisol and chromogranin A levels were measured before and after stretching as stress markers of the hypothalamic-pituitary-adrenal axis and sympathetic nervous system. The coefficient of variation of the R-R interval (CVR-R) and high-frequency component (HF), which reflect parasympathetic nerve activity, and heart rate and low-frequency component (LF)/HF ratio, which reflect sympathetic nerve activity, were measured before, during, and after stretching. Results: SST decreased cortisol levels but with no significant changes in chromogranin A, heart rate, CVR-R, HF, or LF/HF ratio. The combination of SST and CSB increased CVR-R and HF levels in addition to decreasing cortisol levels but with no significant changes in chromogranin A, heart rate, or LF/HF levels. Conclusion: These results indicate that the combination of SST and CSB may increase parasympathetic activity and reduce stress. However, future randomized controlled trials with larger sample sizes should support this conclusion.

关键词： Static Stretching Conscious Slower Breathing Autonomic Activity Heart Rate Variability Stress

Advances in traction methods for endoscopic submucosal dissection:What is the best traction method and traction direction?

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World Journal of Gastroenterology 2022年第1期28卷 1-22页

作者： Mitsuru nagata Department of Endoscopy Shonan Fujisawa Tokushukai HospitalKanagawa 251-0041Japan

Endoscopic submucosal dissection(ESD)has been developed as a treatment for superficial gastrointestinal neoplasms,which can achieve en bloc resection regardless of the lesion ***,ESD is technically difficult because endoscopists cannot bring their hand into the gastrointestinal tract,unlike surgeons in regular *** is difficult to obtain sufficient tension in the dissection plane and a good field of ***,ESD is associated with a long procedure time and a high risk of adverse events in comparison with endoscopic mucosal *** methods have been developed to provide sufficient tension for the dissection plane and a good field of vision during the ESD ***,traction direction is limited in most traction methods,resulting in insufficient effect in some *** traction direction is considered important,there have been few investigations of its *** the first half of this review,important traction methods are discussed,including traction *** second half,appropriate traction methods for each organ are *** important considerations for traction method,such as ability to adjust traction strength,interference between traction device and endoscope,and the need for specialized devices are also discussed.

关键词： Endoscopic submucosal dissection Traction method Countertraction Traction direction Vertical traction

Collapse Behavior of Pipe-Framed Greenhouses with and without Reinforcement under Snow Loading:A 3-D Finite Element Analysis

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Journal of Civil Engineering and Architecture 2024年第2期18卷 51-59页

作者： yasushi Uematsu Kazuya Takahashi New Industry Creation Hatchery Center Tohoku UniversitySendai 980-8579Japan Engineering Headquarters Shimizu CorporationChuo-kuTokyo 104-8370Japan

The present paper first investigates the collapse behavior of a conventional pipe-framed greenhouse under snow loading based on a 3-D finite element analysis,in which both geometrical and material non-linearities are *** snow load distribution patterns related to the wind-driven snow particle movement are used in the *** is found that snow load distribution affects the deformation and collapse behavior of the pipe-framed greenhouse *** results obtained in this study are consistent with the actual damage ***,discussion is made of the effects of reinforcements by adding members to the basic frame on the strength of the whole structure,in which seven kinds of reinforcement methods are examined.A buckling analysis is also carried *** results indicate that the most effective reinforcement method depends on the snow load distribution pattern.

关键词： Pipe-framed greenhouse snow loading collapse buckling finite element analysis

Natural Image Matting with Attended Global Context

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Journal of Computer Science & Technology 2023年第3期38卷 659-673页

作者：张億一牛力 yasushi Makihara 张健夫赵维杰 yasushi Yagi 张丽清 MoE Key Lab of Artificial Intelligence Department of Computer Science and EngineeringShanghai Jiao Tong University Shanghai 200240China Department of Intelligent Media Institute of Scientific and Industrial ResearchOsaka UniversityOsaka 565-0871Japan

Image matting is to estimate the opacity of foreground objects from an image. A few deep learning based methods have been proposed for image matting and perform well in capturing spatially close information. However, these methods fail to capture global contextual information, which has been proved essential in improving matting performance. This is because a matting image may be up to several megapixels, which is too big for a learning-based network to capture global contextual information due to the limit size of a receptive field. Although uniformly downsampling the matting image can alleviate this problem, it may result in the degradation of matting performance. To solve this problem, we introduce a natural image matting with the attended global context method to extract global contextual information from the whole image, and to condense them into a suitable size for learning-based network. Specifically, we first leverage a deformable sampling layer to obtain condensed foreground and background attended images respectively. Then, we utilize a contextual attention layer to extract information related to unknown regions from condensed foreground and background images generated by a deformable sampling layer. Besides, our network predicts a background as well as the alpha matte to obtain more purified foreground, which contributes to better qualitative performance in composition. Comprehensive experiments show that our method achieves competitive performance on both Composition-1k and the *** benchmark quantitatively and qualitatively.

关键词： image matting global context deformable sampling

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World Journal of Clinical Cases 2022年第34期10卷 12617-12622页

作者： Mayuki Kizawa yasushi Iwasaki Department of Pathology Tokai Central HospitalKakamigahara 504-8601Japan Bulletin of The Institute for Medical Science of Aging Aichi Medical UniversityNagakute City 480-1195Japan

BACKGROUND Although coronavirus disease 2019(COVID-19)vaccines have been effective in controlling the COVID-19 pandemic,a variety of post-vaccination neurological complications have been reported ***β-related angiitis(ABRA)is a rare neurological *** underlying cause of ABRA is unknown,but several studies suggest that it is caused by an excessive immune response to amyloid-βdeposited in blood *** addition,limited attention has been paid to potential triggers of ABRA,such as infection or *** SUMMARY We report a case of ABRA that developed 2 wk after COVID-19 vaccination.A 75-year-old woman developed a frontal headache after receiving a second dose of COVID-19 BNT162b2 vaccine(Pfizer-BioNTech).Diffusion-weighted magnetic resonance imaging(DW-MRI)of the head showed abnormal hyperintensity,suggesting cerebral infarctions in the left parietal and occipital *** diagnosed her condition as ABRA based on a brain *** administered steroid pulse therapy and the patient’s symptoms and DW-MRI abnormalities *** case had a good outcome due to prompt diagnosis and *** We report a case of ABRA that may have been triggered by COVID-19 vaccination.

关键词： Amyloidβ-related angiitis COVID-19 Neurological complications Vaccination Case report

Efficacy of incremental loads of cow's milk as a treatment for lactose malabsorption in Japan

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World Journal of Clinical Cases 2023年第4期11卷 797-808页

作者： Matsuri Hasegawa Kazuko Okada Satoru nagata Shigetaka Sugihara Department of Pediatrics Tokyo Women's Medical University Medical Center EastDepartment of PediatricsTokyo Women’s Medical University Medical Center EastArakawa-ku 116-8561TokyoJapan Department of Pediatrics Okada Pediatric ClinicShinjuku-ku 169-0072TokyoJapan Department of Pediatrics Tokyo Women’s Medical UniversityShinjuku-ku 162-8666TokyoJapan

BACKGROUND Lactose intolerance(LI)is commonly seen in East Asian *** studies showed that lactose or milk loading has been used as a treatment for lactose malabsorption(LM)in Western countries,but there have been no reports regarding this type of treatment in *** lactose or milk loading requires ingestion of large amounts of lactose within a short period,this is considered to be too harsh for Japanese people because of their less habitual milk consumption(175 mL per day in average)than Western *** this study,we demonstrated lactose tolerance acquisition in a suitable way for *** To examine the efficacy of lactose(cow’s milk)loading treatment in patients with *** Individuals with abdominal symptoms induced by milk or dairy products(LI symptoms)were identified with a questionnaire.A 20 g lactose hydrogen breath test(LHBT)was carried out to confirm LM diagnosis and to evaluate co-existence of small intestinal bacterial overgrowth(SIBO).Respondents diagnosed with LM were selected as study subjects and were treated with incremental loads of cow’s milk,starting from 30 mL and increasing up to 200 mL at 4-7 d *** the treatment,changes in symptoms and LM diagnostic value of 20 g LHBT were *** samples pre-and post-treatment were examined for changes in intestinal microbiota using 16S rRNA *** consent was obtained prior to each stage of the *** In 46 subjects with LI symptoms(10-68 years old,mean age 34 years old)identified with the questionnaire,35(76.1%)were diagnosed with LM by 20 g LHBT,and 6 had co-existing *** treatment with incremental cow’s milk was carried out in 32 subjects diagnosed with LM(14-68 years old,median age 38.5 years old).The mean period of the treatment was 41±8.6 *** of symptoms was observed in 29(90.6%;95%confidence interval:75.0%-98.0%)*** 20 g LHBT indicated that 10(34.5%)subjects had improved diagnostic value of LM,no change was

关键词： Lactose Intolerance Lactose Malabsorption lactose loading treatment Intestinal bacterial flora Fecal microbiota